Free small intestine transplantation with microvascular anastomosis for complete replacement of the hypopharynx and cervical esophagus

Böttger, T.; Bumb, P.; Junginger, T.

Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 66(6): 625-629

1995


ISSN/ISBN: 0009-4722
PMID: 7664593
Document Number: 443453
12 patients were operated on due to a cancer of the hypopharynx (T2-T4, N2-3). After resection, the reconstruction was performed with a free jejunal segment. Intraoperatively the venous anastomosis had to be renewed in 2 cases. One of these patients developed postoperatively a partial necrosis of the transplant. A further patient developed an insufficiency of the proximal anastomosis. One patient died on the 12th postoperative day due to a myocardial infarction. The median survival time was 17 months.

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